- Allied Universal (San Antonio, TX)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to… more
- CVS Health (Austin, TX)
- …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ( SIU ) to ensure compliance with ... Qualifications:** + A minimum of 2 years of managing staff within a Special Investigation Unit ( SIU ). + Excellent analytical skills and the ability to mentor… more
- Centene Corporation (Austin, TX)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The SIU Program Manager role will support the organizations efforts to detect ... role will be tasked with developing partnerships beyond that SIU to bring a novel approach to expanding features...and value of leads that are generated for the SIU . This role will be focused on creating an… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** ... additional information, facts and supporting documentation. + Collaborate and refer non- SIU related issue and activities to external departments (Cost Containment,… more
- Command Investigations (Houston, TX)
- A minimum of 5 years' SIU experience is required. Must have experience in P&C investigations . * Candidates who do not have property (non-auto) experience will ... assignments. This is a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the following areas: + P&C … more
- Elevance Health (Grand Prairie, TX)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU ** **Location:** This role requires associates to be in-office 1 - 2 days… more
- CVS Health (Austin, TX)
- …Must be flexible to work EDT hours (8:00 am - 5 pm EDT) The Special Investigations Unit ( SIU ) is looking for an analytically driven individual who ... billing patterns and reviewing incoming referrals to determine if additional investigations are warranted. **Fundamental Components:** -Research and ad hoc report… more
- Sedgwick (Irving, TX)
- …changes with internal departments. + Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit ( SIU ) as appropriate and ... coordinates independent medical examinations. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** High school diploma or GED required.… more
- Travelers Insurance Company (Fort Worth, TX)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
- Kemper (Dallas, TX)
- …to our stakeholders that delivers on our promises._ **Position Summary:** SIU coordinator will be responsible for analyzing referrals submitted via multiple ... channels for potential investigation by the SIU team. **Position Qualifications:** * College Degree or equivalent work experience * Three years of insurance claims… more